policy discourses
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2021 ◽  
pp. 161-181
Author(s):  
Thomas Friis Søgaard ◽  
Frank Søgaard Nielsen

In Denmark, a moralization of recreational use of drugs has lately occurred. The use is interpreted in a neo-liberal framing seeing the user who can chose as selfish, not regarding the negative consequences of drug use in a wider sense, and the legislation has been sharpened.


2021 ◽  
Author(s):  
Chao Fang ◽  
Miho Tanaka

Abstract Background: Increasing evidence has suggested that a person-centred approach is beneficial not only for improving care outcomes but also for mitigating the pressure on public health systems. However, policy implementation gaps have prevented the translation of this complex framework into useful practical, ethical and moral stances for end-of-life care. This article aims to explore the meaning and implications of person-centredness in end-of-life care policy discourses.Methods: By perceiving policy documents as a medium embodied with socio-political and cultural norms, we analysed how person-centred approach in end-of-life care is constructed within specific socio-cultural contexts and the implications of these contexts on resultant care. Focusing on England and Japan, we conducted a critical policy analysis to examine and compare key policy and legal documents collected between 2007 and 2019 in these two post-industrial and socio-culturally distinctive countries. Results: Our analysis found that the person-centred approach is mobilised in policy discourses primarily through three interconnected dimensions: individual, relational and existential. While acknowledging that both countries have developed varied policy and legal mechanisms to emphasise holistic and integrated care with respect to these three dimensions, we also identified significant gaps in the policies both within and between England and Japan. They include ambiguity in defining patients’ best interests, fragmented support for social and family care and the neglect of existential needs. Conclusions: This cross-cultural analysis has revealed the complex nature of discourses around person-centred approach in English and Japanese end-of-life care policies, which often concentrate on the multifaceted aspects of experiences as one approaches the end of life. Despite this, we argue that a more holistic construction of person-centred approach is needed in end-of-life care policies not only in England and Japan but also more broadly, to encapsulate the richness of end-of-life experiences.


2021 ◽  
Vol 6 ◽  
Author(s):  
Mary Coulas

“Food” and “policy” are ambiguous concepts. In turn, the study of food policy has resulted in varying approaches by different disciplines. However, the power behind the discursive effects of these concepts in policymaking—how food policy is understood and shaped by different actors as well as how those ideas are shared in different settings—requires a rigorous yet flexible research approach. This paper will introduce the contours of discursive institutionalism and demonstrate methodological application using the case study example of Canada’s national food policy, Food Policy for Canada: Everyone at the Table! Selected examples of communicative and coordination efforts and the discursive power they carry in defining priorities and policy boundaries are used to demonstrate how discursive institutionalism is used for revealing the causal and material consequences of food policy discourses.


Author(s):  
Carla Greubel ◽  
Ellen H. M. Moors ◽  
Alexander Peine

This paper provides an empirical ethics analysis of the goods and bads enacted in EU ageing and innovation policy discourses. It revolves around a case study of the persona Maria, developed as part of the EU’s Active and Healthy Ageing Policies. Drawing on Pols’ empirical ethics as a theoretical and methodological approach, we describe the variety of goods (practices/situations to be strived for) and bads (practices/situations to be avoided) that are articulated in Maria’s persona. We analyse how certain ideas about good and bad ageing—those associated with the use of sophisticated technologies—come to matter more in the solutions proposed for Maria and the framing of her unmet needs, while others which were initially seen as relevant and that describe her dreams, fears and interactions, are marginalised. The paper adds to existing studies of ageing and technology by analysing specific practices that render visible how the idea of technology and data sharing as evidently the right path towards futures of (good) ageing, comes to prevail.


2021 ◽  
pp. 147447402110292
Author(s):  
Stephanie Wakefield ◽  
David Chandler ◽  
Kevin Grove

In this article we critique resilience’s oft-celebrated overcoming of modern liberal frameworks. We bring work on resilience in geography and cognate fields into conversation with explorations of the ‘asymmetrical Anthropocene’, an emerging body of thought which emphasizes human-nonhuman relational asymmetry. Despite their resonances, there has been little engagement between these two responses to the human/world binary. This is important for changing the terms of the policy debate: engaging resilience through the asymmetrical Anthropocene framing shines a different light upon policy discourses of adaptive management, locating resilience as a continuation of modernity’s anthropocentric will-to-govern. From this vantage point, resilience is problematic, neglecting the powers of nonhuman worlds that are not accessible or appropriable for governmental use. However, this is not necessarily grounds for pessimism. To conclude, we argue that human political agency is even more vital in an indeterminate world.


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